CAMHS Specialist Services'

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CAMHS Specialist Services.

• CAMHS Strategy Planning.
• 18th July 2007

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• Child and Adolescent Eating Disorder Service.
• Day patient and inpatient services.
• Local and national service.
• 8 week post discharge follow up.
• Facilities available for families travelling from
  a distance.
• Multi family group treatment.
• Strong links with research.

• The Adolescent Resource Centre.
• 2 integrated services-
• The Assertive Outreach Team.
• Aquarius-Inpatient and day patient unit.
• Currently serves the 5 boroughs of the trust.
• Accessed by 12-18 years.
• 24 hour/7 day a week service responding to
  crisis/emergencies.
• No waiting list.

CAMHS Specialist Services

• Corner House Inpatient 2001
• Only Deaf child service in UK
• 6 Bed
• Across Countries
• Highly specialist School and support
• Assessment
• Therapy and Treatment
• Family Therapy

• Childrens Assertive Outreach Team.
• Provides outreach services to children, families
  and professionals.
• Children under the age of 13 years.
• Initially provided for the boroughs of Sutton,
  Merton and Wandsworth.
• Service planned to continue until November 2007.

• High Trees Outpatient
• 1991
• School and support
• Assessment
• Therapy and Treatment
• Links (York Dudley)
• Telelink

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Achievements.(1)

• Use of Outcome measures in all services.
• Introduced Zoning into CAMHS.
• Access to and use of telelink service.
• Aquarius one of pilot wards for Primary
  Indicators in Nursing.
• Early onset of Psychosis protocols introduced.
• Introduced multi family group work in eating
  disorders.
• Working directly with schools.

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Further Achievements.

• Greater collaboration between services e.g. joint
  work consultation and advice sharing knowledge
  and expertise.
• Joint Youth Club across the 3 services.
• Raise profile of young people in the trust.
• Practice Development Groups for Nurses.
• Annual Wisteria conference.
• Developing knowledge and understanding of mental
  health for teaching staff.

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And theres more..

• Learning from events/incidents.
• Improvements in transition.
• Greater integration of CAMHS nurses into wider
  trust- e.g. Duty Senior Nurse faculty skills
  days trust Risk Training and DVDs.
• Parenting workshops.
• Refurbishment of Corner House.

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Research and Audit.

• Wisteria-1.Multi centre study into multi family
  group treatment. 2. Outcome of young people with
  anorexia nervosa (grant funded study)3. Use of
  Pelvic ultrasound in anorexia nervosa. 
• Aquarius- physical health audit of practice
  development.
• Deaf Services- autism and deafness self-esteem.

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Challenges.

• Intensive care/Forensic beds.
• Management of highly challenging illness and
  behaviour.
• Level of substance misuse.
• Focus on OBDs rather than broader scope of work.
• Managing resources e.g. inpatient v outreach
  model.
• Improving signing and deaf awareness.

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Challenges (2)

• Transition/delayed discharges - back to tier 3
  over a distance to adult services.
• Local v out of area referrals distance/geography.
• Buildings, environment and facilities not fit for
  purpose.
• Integrated training across the services.
• Variable make up of the 3 multi-disciplinary
  teams.

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Further challenges..

• Access for young people with Learning
  difficulties.
• Managing crisis in pre-adolescents.
• Rotational nursing posts.
• Integrated training across services.
• Developing research.
• Raising the profile of a unique configuration of
  services-challenge and opportunity for CAMHS and
  trust.

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Summary

• The current configuration of specialist child,
  adolescent and family services within the trust
  is unique in the N.H.S.
• Child and Adolescent mental health and emotional
  well-being is moving up the political agenda.
• Developing a lasting, innovative national centre
  of excellence around these services provides a
  unique opportunity as the trust bids for
  Foundation status.